PRMT5 inhibition has a potent anti-tumor activity against adenoid cystic carcinoma of salivary glands

Abstract Background Adenoid cystic carcinoma (ACC) is a rare glandular malignancy, commonly originating in salivary glands of the head and neck. Given its protracted growth, ACC is usually diagnosed in advanced stage. Treatment of ACC is limited to surgery and/or adjuvant radiotherapy, which often f...

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Main Authors: Vasudha Mishra, Alka Singh, Michael Korzinkin, Xiangying Cheng, Claudia Wing, Viktoria Sarkisova, Ashwin L. Koppayi, Alexandra Pogorelskaya, Oksana Glushchenko, Manu Sundaresan, Venkat Thodima, Jack Carter, Koichi Ito, Peggy Scherle, Anna Trzcinska, Ivan Ozerov, Everett E. Vokes, Grayson Cole, Frank W. Pun, Le Shen, Yuxuan Miao, Alexander T. Pearson, Mark W. Lingen, Bruce Ruggeri, Ari J. Rosenberg, Alex Zhavoronkov, Nishant Agrawal, Evgeny Izumchenko
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Experimental & Clinical Cancer Research
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Online Access:https://doi.org/10.1186/s13046-024-03270-x
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author Vasudha Mishra
Alka Singh
Michael Korzinkin
Xiangying Cheng
Claudia Wing
Viktoria Sarkisova
Ashwin L. Koppayi
Alexandra Pogorelskaya
Oksana Glushchenko
Manu Sundaresan
Venkat Thodima
Jack Carter
Koichi Ito
Peggy Scherle
Anna Trzcinska
Ivan Ozerov
Everett E. Vokes
Grayson Cole
Frank W. Pun
Le Shen
Yuxuan Miao
Alexander T. Pearson
Mark W. Lingen
Bruce Ruggeri
Ari J. Rosenberg
Alex Zhavoronkov
Nishant Agrawal
Evgeny Izumchenko
author_facet Vasudha Mishra
Alka Singh
Michael Korzinkin
Xiangying Cheng
Claudia Wing
Viktoria Sarkisova
Ashwin L. Koppayi
Alexandra Pogorelskaya
Oksana Glushchenko
Manu Sundaresan
Venkat Thodima
Jack Carter
Koichi Ito
Peggy Scherle
Anna Trzcinska
Ivan Ozerov
Everett E. Vokes
Grayson Cole
Frank W. Pun
Le Shen
Yuxuan Miao
Alexander T. Pearson
Mark W. Lingen
Bruce Ruggeri
Ari J. Rosenberg
Alex Zhavoronkov
Nishant Agrawal
Evgeny Izumchenko
author_sort Vasudha Mishra
collection DOAJ
description Abstract Background Adenoid cystic carcinoma (ACC) is a rare glandular malignancy, commonly originating in salivary glands of the head and neck. Given its protracted growth, ACC is usually diagnosed in advanced stage. Treatment of ACC is limited to surgery and/or adjuvant radiotherapy, which often fails to prevent disease recurrence, and no FDA-approved targeted therapies are currently available. As such, identification of new therapeutic targets specific to ACC is crucial for improved patients’ outcomes. Methods After thoroughly evaluating the gene expression and signaling patterns characterizing ACC, we applied PandaOmics (an AI-driven software platform for novel therapeutic target discovery) on the unique transcriptomic dataset of 87 primary ACCs. Identifying protein arginine methyl transferase 5 (PRMT5) as a putative candidate with the top-scored druggability, we next determined the applicability of PRMT5 inhibitors (PRT543 and PRT811) using ACC cell lines, organoids, and patient derived xenograft (PDX) models. Molecular changes associated with response to PRMT5 inhibition and anti-proliferative effect of the combination therapy with lenvatinib was then analyzed. Results Using a comprehensive AI-powered engine for target identification, PRMT5 was predicted among potential therapeutic target candidates for ACC. Here we show that monotherapy with selective PRMT5 inhibitors induced a potent anti-tumor activity across several cellular and animal models of ACC, which was paralleled by downregulation of genes associated with ACC tumorigenesis, including MYB and MYC (the recognized drivers of ACC progression). Furthermore, as a subset of genes targeted by lenvatinib is upregulated in ACC, we demonstrate that addition of lenvatinib enhanced the growth inhibitory effect of PRMT5 blockade in vitro, suggesting a potential clinical benefit for patients expressing lenvatinib favorable molecular profile. Conclusion Taken together, our study underscores the role of PRMT5 in ACC oncogenesis and provides a strong rationale for the clinical development of PRMT5 inhibitors as a targeted monotherapy or combination therapy for treatment of patients with this rare disease, based on the analysis of their underlying molecular profile.
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spelling doaj-art-6623e6a41495406d97c09fcb53096de92025-01-12T12:44:40ZengBMCJournal of Experimental & Clinical Cancer Research1756-99662025-01-0144112010.1186/s13046-024-03270-xPRMT5 inhibition has a potent anti-tumor activity against adenoid cystic carcinoma of salivary glandsVasudha Mishra0Alka Singh1Michael Korzinkin2Xiangying Cheng3Claudia Wing4Viktoria Sarkisova5Ashwin L. Koppayi6Alexandra Pogorelskaya7Oksana Glushchenko8Manu Sundaresan9Venkat Thodima10Jack Carter11Koichi Ito12Peggy Scherle13Anna Trzcinska14Ivan Ozerov15Everett E. Vokes16Grayson Cole17Frank W. Pun18Le Shen19Yuxuan Miao20Alexander T. Pearson21Mark W. Lingen22Bruce Ruggeri23Ari J. Rosenberg24Alex Zhavoronkov25Nishant Agrawal26Evgeny Izumchenko27Department of Medicine, Section of Hematology and Oncology, University of ChicagoDepartment of Medicine, Section of Hematology and Oncology, University of ChicagoInsilico MedicineDepartment of Medicine, Section of Hematology and Oncology, University of ChicagoDepartment of Medicine, Section of Hematology and Oncology, University of ChicagoInsilico MedicineDepartment of Medicine, Section of Hematology and Oncology, Northwestern UniversityInsilico MedicineInsilico MedicineDepartment of Medicine, Section of Hematology and Oncology, University of ChicagoPrelude TherapeuticsPrelude TherapeuticsPrelude TherapeuticsPrelude TherapeuticsDepartment of Pathology, University of ChicagoInsilico MedicineDepartment of Medicine, Section of Hematology and Oncology, University of ChicagoDepartment of Pathology, University of ChicagoInsilico MedicineDepartment of Surgery, University of ChicagoBen May Department for Cancer Research, University of ChicagoDepartment of Medicine, Section of Hematology and Oncology, University of ChicagoDepartment of Pathology, University of ChicagoPrelude TherapeuticsDepartment of Medicine, Section of Hematology and Oncology, University of ChicagoInsilico MedicineDepartment of Surgery, University of ChicagoDepartment of Medicine, Section of Hematology and Oncology, University of ChicagoAbstract Background Adenoid cystic carcinoma (ACC) is a rare glandular malignancy, commonly originating in salivary glands of the head and neck. Given its protracted growth, ACC is usually diagnosed in advanced stage. Treatment of ACC is limited to surgery and/or adjuvant radiotherapy, which often fails to prevent disease recurrence, and no FDA-approved targeted therapies are currently available. As such, identification of new therapeutic targets specific to ACC is crucial for improved patients’ outcomes. Methods After thoroughly evaluating the gene expression and signaling patterns characterizing ACC, we applied PandaOmics (an AI-driven software platform for novel therapeutic target discovery) on the unique transcriptomic dataset of 87 primary ACCs. Identifying protein arginine methyl transferase 5 (PRMT5) as a putative candidate with the top-scored druggability, we next determined the applicability of PRMT5 inhibitors (PRT543 and PRT811) using ACC cell lines, organoids, and patient derived xenograft (PDX) models. Molecular changes associated with response to PRMT5 inhibition and anti-proliferative effect of the combination therapy with lenvatinib was then analyzed. Results Using a comprehensive AI-powered engine for target identification, PRMT5 was predicted among potential therapeutic target candidates for ACC. Here we show that monotherapy with selective PRMT5 inhibitors induced a potent anti-tumor activity across several cellular and animal models of ACC, which was paralleled by downregulation of genes associated with ACC tumorigenesis, including MYB and MYC (the recognized drivers of ACC progression). Furthermore, as a subset of genes targeted by lenvatinib is upregulated in ACC, we demonstrate that addition of lenvatinib enhanced the growth inhibitory effect of PRMT5 blockade in vitro, suggesting a potential clinical benefit for patients expressing lenvatinib favorable molecular profile. Conclusion Taken together, our study underscores the role of PRMT5 in ACC oncogenesis and provides a strong rationale for the clinical development of PRMT5 inhibitors as a targeted monotherapy or combination therapy for treatment of patients with this rare disease, based on the analysis of their underlying molecular profile.https://doi.org/10.1186/s13046-024-03270-xAdenoid cystic carcinoma (ACC)Protein arginine methyl transferase 5 (PRMT5)Organoid modelsPatient derived xenografts (PDXs)PandaOmicsWhole exome sequencing
spellingShingle Vasudha Mishra
Alka Singh
Michael Korzinkin
Xiangying Cheng
Claudia Wing
Viktoria Sarkisova
Ashwin L. Koppayi
Alexandra Pogorelskaya
Oksana Glushchenko
Manu Sundaresan
Venkat Thodima
Jack Carter
Koichi Ito
Peggy Scherle
Anna Trzcinska
Ivan Ozerov
Everett E. Vokes
Grayson Cole
Frank W. Pun
Le Shen
Yuxuan Miao
Alexander T. Pearson
Mark W. Lingen
Bruce Ruggeri
Ari J. Rosenberg
Alex Zhavoronkov
Nishant Agrawal
Evgeny Izumchenko
PRMT5 inhibition has a potent anti-tumor activity against adenoid cystic carcinoma of salivary glands
Journal of Experimental & Clinical Cancer Research
Adenoid cystic carcinoma (ACC)
Protein arginine methyl transferase 5 (PRMT5)
Organoid models
Patient derived xenografts (PDXs)
PandaOmics
Whole exome sequencing
title PRMT5 inhibition has a potent anti-tumor activity against adenoid cystic carcinoma of salivary glands
title_full PRMT5 inhibition has a potent anti-tumor activity against adenoid cystic carcinoma of salivary glands
title_fullStr PRMT5 inhibition has a potent anti-tumor activity against adenoid cystic carcinoma of salivary glands
title_full_unstemmed PRMT5 inhibition has a potent anti-tumor activity against adenoid cystic carcinoma of salivary glands
title_short PRMT5 inhibition has a potent anti-tumor activity against adenoid cystic carcinoma of salivary glands
title_sort prmt5 inhibition has a potent anti tumor activity against adenoid cystic carcinoma of salivary glands
topic Adenoid cystic carcinoma (ACC)
Protein arginine methyl transferase 5 (PRMT5)
Organoid models
Patient derived xenografts (PDXs)
PandaOmics
Whole exome sequencing
url https://doi.org/10.1186/s13046-024-03270-x
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